ACTIVE LEARNING TEMPLATE:
Medication
Anabel Mendoza
STUDENT NAME______________________________________
Atenolol
MEDICATION___________________________________________________________________________
15
REVIEW MODULE CHAPTER__Ch.
__________
Beta Adrenergic Blockers (Sympatholytics)
CATEGORY CLASS_______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action
Decreased HR.
Decreased myocardial contractility ( decreases cardiac output)
Decreased rate of conduction through the AV node
-Reduces release of renin which decreases angiotensin II and
causes vasodilation, and promotes excretion of sodium and water
Therapeutic Use
-Hypertension
-Angina, tachydysrhythmias, heart failure, and myocardial infarction
-Suppresses reflex tachycardia due to vasodilators.
Other uses can include treatment of hyperthryroidism, migraine
headache, pheochromocytoma and glaucoma
Complications
Hypotension
Medication Administration
Tablets: give one tablet daily
can be administered IV.
Bradycardia
Nausea /vomiting
Contraindications/Precautions
Contraindicated: Sinus bradycardia; First degree Heart block; Cardiac Failure
Shock
Precaution: History of asthma
Nursing Interventions
*Monitor HR before and after administration.
Hold medication if HR is below 60 bpm and
report.
*Monitor BP before and after treatment
Interactions
Monitor for signs of heart failure
*Calcium channel blockers, Verapamil, and diltiazem intensify effects of beta blockers
*Other antihypertensives can intensify hypotensive effects
Client Education
Do not discontinue without consulting physician.
Evaluation of Medication Effectiveness
Avoid sudden changes in position.
Do not crush or chew extended release tabs.
Absence of chest pain
Self monitor BP and HR
Absence of dysrhythmias
Normotensive BP
Advise pts not to drive or operate dangerous
equipment until drug response is known
Control of heart failure s/s
ACTIVE LEARNING TEMPLATES
Therapeutic Procedure
A7